Changing prevalence of Helicobacter pylori infection and peptic ulcer among dyspeptic patients

摘要: SIMI 2015 Dyspeptic syndrome defines a series of symptoms involving the upper GI tract. The affects about 25 % adult population, and is one most common problems in primary care or gastroenterology practice [1]. In approximately 75 patients, dyspeptic are functional, meaning without an underlying cause on diagnostic evaluation. Authorities field stratify functional dyspepsia into three subgroups basis pattern: motility like, including such as bloating, predominant nausea, epigastric fullness, early satiety anorexia; ulcer characterized by burning, hunger pain mitigated antacid, antisecretory drugs food; finally unspecified approach to management patient with based presence absence alarm features age older than 55 years, family history cancer, weight loss regular diet, bleeding, dysphagia, jaundice, anemia, persistent vomiting palpable mass lymphadenopathy Because several disorders can be responsible for these esophageal, gastroduodenal, pancreatic, hepatobiliary diseases, goal will avoid invasive expensive procedures arrive at definitive diagnosis [1, 2]. Upper endoscopy gold standard establishing specific patients pain; however, it should reserved only features. For this reason, detailed anamnesis physical examination fundamental identify gastroesophageal reflux disease, nonsteroidal anti-inflammatory drug (NSAID)-induced dyspepsia, well cut-off also may different among countries, depending upon prevalence malignancy. Europe, recommended adults 45 years old [3]. majority investigated defined peptic ulcers have complained pain, we know that causes gastric duodenal include Helicobacter pylori infection NSAIDs use. Less are: Zollinger‐Ellison tumors, Crohn’s Curling (from stress due serious